0001104659-23-078089.txt : 20230705 0001104659-23-078089.hdr.sgml : 20230705 20230705160742 ACCESSION NUMBER: 0001104659-23-078089 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230701 FILED AS OF DATE: 20230705 DATE AS OF CHANGE: 20230705 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Douglas Patrice D CENTRAL INDEX KEY: 0001641185 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 231068857 MAIL ADDRESS: STREET 1: 1712 CROSSBOW CITY: EDMOND STATE: OK ZIP: 73034 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Amplify Energy Corp. CENTRAL INDEX KEY: 0001533924 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 821326219 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 DALLAS STREET STREET 2: SUITE 1700 CITY: HOUSTON STATE: TX ZIP: 77002 BUSINESS PHONE: 713-588-8369 MAIL ADDRESS: STREET 1: 500 DALLAS STREET STREET 2: SUITE 1700 CITY: HOUSTON STATE: TX ZIP: 77002 FORMER COMPANY: FORMER CONFORMED NAME: Midstates Petroleum Company, Inc. DATE OF NAME CHANGE: 20111031 4 1 tm2319697-5_4seq1.xml OWNERSHIP DOCUMENT X0407 4 2023-07-01 0 0001533924 Amplify Energy Corp. AMPY 0001641185 Douglas Patrice D C/O AMPLIFY ENERGY CORP. 500 DALLAS STREET SUITE 1700 HOUSTON TX 77002 1 0 0 0 0 Common Stock, par value $0.01 per share 2023-07-01 4 M 0 17889 A 48218 D Restricted Stock Units 2023-07-01 4 M 0 17889 0.00 D Common Stock 17889 0 D Restricted Stock Units 2023-07-01 4 A 0 19077 0.00 A Common Stock 19077 19077 D Reflects shares of common stock, par value $0.01 per share of Amplify Energy Corp. (the "Company") granted upon settlement of previously awarded restricted stock units with service-based vesting conditions ("TSUs"). These TSUs were granted under the Amplify Energy Corp. Equity Incentive Plan, vesting on the first anniversary of the date of grant so long as the reporting person remained a member of the board of directors of the Company through the vesting date. Share amount reflects an aggregate number and represents 19,077 unvested TSUs. These TSUs were granted under the Amplify Energy Corp. Equity Incentive Plan and vest on the first anniversary of the date of grant so long as the reporting person remains a member of the board of directors of the Company through the vesting date. The TSUs convert into common stock on a one-for-one basis. /s/ Eric M. Willis, Attorney-in-Fact 2023-07-05